root scaling and planing before and after

3 min read 22-08-2025

Root scaling and planing, often referred to as root planing, is a deep cleaning procedure performed by dentists and periodontists to treat gum disease (periodontitis). This procedure removes tartar and bacteria from below the gum line, smoothing the tooth root surfaces to promote healing and prevent further infection. Understanding what to expect before and after the procedure is crucial for a successful outcome.

What Happens Before Root Scaling and Planing?

Before undergoing root scaling and planing, several steps typically occur:

Comprehensive Examination: Your dentist will conduct a thorough examination of your mouth, including X-rays, to assess the extent of gum disease and determine the best course of treatment. They'll check for pockets of infection around your teeth and measure their depth.
Discussion of Treatment Options: Your dentist will explain the procedure in detail, including its benefits, risks, and potential alternatives. They'll answer all your questions and address any concerns you might have.
Pre-Procedure Instructions: You might be advised to avoid certain medications or foods before the procedure. Your dentist might recommend rinsing with an antiseptic mouthwash to reduce the bacterial load.

What Happens During Root Scaling and Planing?

Root scaling and planing is typically performed under local anesthesia, making the procedure relatively painless. The process involves:

Scaling: Using specialized instruments, the dentist removes tartar and plaque from above and below the gum line. This is often done with ultrasonic scalers, which use vibrations to break up and remove deposits efficiently.
Planing: Once the tartar and plaque are removed, the dentist smooths the root surfaces of the teeth. This helps to prevent bacteria from re-attaching and reduces the inflammation of the gums.

What to Expect After Root Scaling and Planing?

After the procedure, you can expect the following:

Sensitivity: Teeth may be sensitive to hot and cold temperatures for a few days or weeks. Your dentist can recommend desensitizing toothpaste or mouthwash to alleviate this.
Slight Bleeding: Some bleeding is normal immediately following the procedure, but it should subside within a day or two.
Swelling and Discomfort: Mild swelling and discomfort are possible, and over-the-counter pain relievers like ibuprofen can help manage this.
Follow-up Appointments: Regular follow-up appointments are crucial to monitor healing and ensure the procedure's effectiveness.

How Long Does it Take to Recover?

Recovery time varies, but most patients experience significant improvement within a week or two. Complete healing may take several months.

How Effective is Root Scaling and Planing?

Root scaling and planing is highly effective in treating gum disease and preventing its progression. It significantly reduces bacterial load and inflammation, improving gum health and reducing the risk of tooth loss.

Does Root Scaling and Planing Hurt?

The procedure is typically performed under local anesthesia, minimizing discomfort. You may experience some soreness or sensitivity afterward, but this is usually manageable with over-the-counter pain relievers.

What are the Long-Term Effects of Root Scaling and Planing?

With proper oral hygiene, including regular brushing, flossing, and professional cleanings, root scaling and planing can lead to long-term improvements in gum health. It helps prevent further gum disease progression and maintains the health of your teeth and gums.